Except for Medicare claims, no auditing entity shall subject a pharmacy to reversals of approval for drug, prescriber, or patient eligibility upon adjudication of a claim unless the pharmacy obtained the adjudication by fraud or misrepresentation of claim elements.
N.C. Gen. Stat. § 58-50-415
Reversals of approval
Known as the North Carolina Small Employer Group Health Coverage Reform Act
The act spans §§ 58–58 (62 sections).
2011-375, s. 1; 2013-379, s. 3; recodified from N.C
Official source: North Carolina General Assembly. Reproduced from public-domain North Carolina statutes; confirm against the official source for the current text. Not legal advice.